Simon Carley is on his own once more, talking through the highlights of the November 2016's EMJ. Here are links to the discussed highlights: Diagnostic accuracy of PAT-POPS and ManChEWS for admissions of children from the emergency department - http://emj.bmj.com/content/33/11/756.full Related editorial: Paediatric early warning systems (PEWS) in the ED - http://emj.bmj.com/content/33/11/754.extract Early warning scores: a health warning - http://emj.bmj.com/content/33/11/812.abstract Engaging t...
Nov 07, 2016•13 min•Ep. 28
The truths and myths about the so-called "weekend effect" in the UK hospitals is discussed in this podcast. Chris Moulton, Vice President of the Royal College of Emergency Medicine and a senior consultant at the Royal Bolton Hospital, and Ellen Weber, Editor-in-Chief of the EMJ, compare two very different realities between the USA and the UK emergency medicines, in terms of resources, mind-sets and politics. Why does data show there is a disparity in mortality rate for patients admitted to hospi...
Oct 24, 2016•14 min•Ep. 27
Simon Carley is on his own this time, talking through the highlights of the October 2016's EMJ. Among the highlights are the low number of women presenting at emergency medicine conferences, PERC rule, triage tools and paramedics' experiences of end-of-life care decisions. The discussed papers: "Are there too few women presenting at emergency medicine conferences?", "A retrospective analysis of the combined use of PERC rule and Wells score to exclude pulmonary embolism in the Emergency Departmen...
Oct 14, 2016•10 min•Ep. 26
Simon Carley and and Rick Body, EMJ associate editors, talk you through the highlights of the September 2016's EMJ. Here are the links to the discussed papers: Regional scale-up of an Emergency Triage Assessment and Treatment (ETAT) training programme from a referral hospital to primary care health centres in Guatemala - http://emj.bmj.com/content/33/9/611.abstract What is the purpose of log roll examination in the unconscious adult trauma patient during trauma reception? - http://emj.bmj.com/co...
Sep 21, 2016•16 min•Ep. 25
Simon Carley and and Richard Body, EMJ associate editors, talks you through the highlights of the August 2016's EMJ, including a retrospective cohort study which puts nurses vs. computer, by evaluating the accuracy of a Japanese triage algorithm (JTAS) and the debate around paediatric procedural sedation in the Emergency Department in the UK. This podcast also answers the question: how likely are doctors to be sued, based on their empathy with patients. For all the content from the issue, see: h...
Sep 01, 2016•10 min•Ep. 24
In this podcast Simon Carley discusses the highlights from June's issue with Mary Dawood, a consultant nurse in emergency medicine at Imperial College London.
Jun 09, 2016•15 min•Ep. 23
In this podcast Simon Carley discusses the highlights from May's issue of EMJ.
May 17, 2016•18 min•Ep. 22
In this podcast Simon Carley and Ellen Weber discuss the highlights from April's issue of EMJ focused on error.
Apr 01, 2016•18 min•Ep. 21
Simon Carley and Rick Body, EMJ associate editors, talk you through the highlights of March's EMJ. For all the content from the issue, see: emj.bmj.com/content/33/3.toc#Primarysurvey
Feb 24, 2016•14 min•Ep. 20
Simon Carley and Rick Body, EMJ associate editors, talk you through the highlights of February's EMJ. For all the content from the issue, see: http://emj.bmj.com/content/33/2.toc
Feb 09, 2016•17 min•Ep. 19
Dr Ellen Weber talks to Dr Renatus Tarimo and Dr Shahzma Suleman from Dar es Salaam in Tanzania. This interview takes place as they complete their six week obsevation visit at the emergency departments of UCSF Medical Center and San Francisco General Hospital in San Francisco and they reflect on their visit and the differences in medical practice and education between the two countries.
Jul 02, 2015•21 min•Ep. 18
Lack of familiarity between teammates is linked to worsened safety in high risk settings. The emergency department (ED) is a high risk healthcare setting where unfamiliar teams are created by diversity in clinician shift schedules and flexibility in clinician movement across the department. Dr Ellen Weber speaks to Dr Daniel Patterson about his research to characterise familiarity between clinician teammates in one urban teaching hospital ED over a 22 week study period. Read the full paper: http...
Apr 15, 2015•16 min•Ep. 17
Simon Carley, EMJ associate editor, talks you through the highlights of February's EMJ. For all the content from the issue, see: http://emj.bmj.com/content/32/2.toc
Feb 02, 2015•11 min•Ep. 16
Simon Carley, EMJ associate editor, talks you through the highlights of January's EMJ, including pulmonary embolism in pregnancy and the post partum period, the causes of suffering in the ED, and how to diagnose a patient by their facial expressions. For all the content from the issue, see: http://emj.bmj.com/content/32/1.toc Listen to a podcast on diagnosis by face: http://goo.gl/0ackZw Listen to a podcast on suffering in the ED: http://goo.gl/JhGa7P
Dec 15, 2014•10 min•Ep. 15
Simon Carley, EMJ associate editor, talks you through the highlights of December's EMJ, including crowding in the emergency department, sepsis treatment and capillary refill. For all the content from the issue, see: http://emj.bmj.com/content/31/12.toc
Dec 11, 2014•10 min•Ep. 14
Provision of prompt, effective analgesia is rightly considered as a standard of care in the emergency department (ED). However, much suffering is not ‘painful’ and may be under-recognised. A recent paper in EMJ looked to describe the burden of suffering in the ED and explore how this may be best addressed from a patient centred perspective. Ellen Weber talks to lead author Richard Body, Emergency Department Research Office, Manchester Royal Infirmary, to hear what they found. Read the full paper...
Dec 10, 2014•16 min•Ep. 13
Dr Mundenga Mutendi Muller is a young doctor from Kindu province in the Democratic Republic of Congo (DRC), currently training in the Emergency Medcine Residency at Muhimbili National Hospital in Dar es Salaam, Tanzania. He was interviewed in Dar es Salaam by Ellen Weber, EMJ Editor. This is an excerpt of their conversation. An edit of the conversation is also available as a EMJ article: http://emj.bmj.com/content/31/8/611.full
Jul 14, 2014•9 min•Ep. 12
Clinicians use nonverbal cues from patients, including their facial expression content and variability, to make inferences about how ill a patient is. However the diagnostic accuracy of facial expressions as a method of physical diagnosis hasn't previously been scientifically examined. Research just published in EMJ is the first to examine this question, and provides proof of concept that patients with serious cardiopulmonary disease processes manifest facial expressions with decreased variabili...
Jun 16, 2014•14 min•Ep. 11
Cliff Mann, president of the College of Emergency Medicine, discusses how the college and the HEE are going to tackle the five major challenges in emergency medicine.
Dec 20, 2013•9 min•Ep. 10
Our colleague Daniel Horner meets P Wells, a legendary figure in derivation of clinical prediction rules and author of the famous Wells scores for VTE. They discuss the difficulties in diagnosing VTE in pregnancy, the potential end of AVKs, and the future for VTE research.
Apr 23, 2013•13 min•Ep. 9
Janos P Baombe (EMJ associate editor) meets with Sir Keith Porter (professor in Clinical Traumatology at the University of Birmingham). They discuss the place of evidence based medicine in military care, lessons for civilian emergency medicine, the concepts of right turn resuscitation, damage control surgery, and consultant-delivered care in military emergency medicine.
Apr 23, 2013•9 min•Ep. 8
Dan Horner, a research fellow from Manchester, talks to the person behind the Ottawa ankle, knee and Canadian c-spine rules. Ian Stiell is a professor of Emergency Medicine, clinical epidemiologist and chair of Emergency Research at the University of Ottawa. They discuss implementation of decision rules in emergency medicine, current projects in Ottawa, the benefits of aggressive emergency department management of atrial fibrillation, and the unpublished findings from the recent Resuscitation Ou...
Apr 23, 2013•16 min•Ep. 7
Janos P Baombe (EMJ associate editor) talks to Nick Crombie (consultant trauma, plastic and burns anaesthetist, Queen Elizabeth Hospital, Birmingham) about errors in medicine and the emerging field of crew resource management. See also: Human factors and error prevention in emergency medicine http://bit.ly/17g7fXd
Apr 23, 2013•10 min•Ep. 6
In this fifth episode of our podcast series Janos P Baombe (EMJ associate editor) meets with John Heyworth, immediate past president of the College of Emergency Medicine (CEM). They discuss the issues around consultant-delivered clinical care, the acquisition of a new HQ, the bid for royal appellation and the issues faced by the specialty.
Apr 23, 2013•17 min•Ep. 5
In this fourth episode of our podcast series Janos P Baombe, EMJ associate editor, meets with Meng Aw-Yong, chair of FASSGEM (the Forum for Associate Specialist and Staff Grade Doctors in Emergency Medicine). They discuss the future of career grade doctors within emergency medicine, their worryingly declining numbers, opportunities for development and the difficulties faced by the “lost tribe”.
Apr 23, 2013•15 min•Ep. 4
Dans ce troisième épisode de notre série de podcasts, Janos P Baombe rencontre le Professeur Abdelouahab Bellou, président de la Société Européenne de Médecine d’Urgences (EuSEM). Ils discutent l’expansion de la médecine d’urgences à travers le continent, le projet d’un examen pan-européen et le futur de la société. In this third episode of our podcast series, Janos P Baombe (EMJ associate editor) meets with Professor Abdelouahab Bellou, president of the European Society of Emergency Medicine (E...
Apr 23, 2013•9 min•Ep. 3
At the Emergency Medicine Trainees Association Annual Conference this April Jasmeet Soar, Chair of the Resuscitation Council UK, spoke about recent advances in resuscitation. Janos P Baombe (EMJ associate editor) spoke to him about the issues he raised, including minimising hands-off time, the role of capnography, the importance of therapeutic hypothermia and the future of cardiopulmonary resuscitation (CPR).
Apr 23, 2013•11 min•Ep. 2
Dans ce tout premier épisode d’une série de podcasts, Janos P Baombe (éditeur associé) interrroge Professeur Jean-Louis Vincent (Unité de Soins Intensifs, Hôpital Universitaire Erasme, Bruxelles, Belgique) à propos du retrait de soins thérapeutiques. In this first episode of the podcast series, Janos P Baombe (associate editor, EMJ) interviews Professor Jean-Louis Vincent (Unité de Soins Intensifs, Erasmus University Hospital, Brussels) about withdrawing therapeutic intervention. This episode is...
Apr 23, 2013•8 min•Ep. 1
